title: Short segment aortic endarterectomy--a technique to aid cannulation in donors with severe aorto-iliac disease.
abstract: Cannulation of the abdominal aorta in older donors with advanced atherosclerotic disease is challenging and may lead to dissection or plaque embolization. We describe a different technique, short segment aortic endarterectomy, which can be a useful alternative during organ procurement. It permits safer cannulation and securing of atherosclerotic infrarenal aortas, thereby allowing us to flush and safely use organs that otherwise would have been discarded.
authors.affiliation: Hepato-Pancreato-Biliary & Transplant Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA. gani_g@hotmail.com
authors.forename: Ganesh
authors.initials: G
authors.lastname: Gunasekaran
authors.forename: Charles
authors.initials: C
authors.lastname: Winans
authors.forename: Koji
authors.initials: K
authors.lastname: Hashimoto
authors.forename: Federico
authors.initials: F
authors.lastname: Aucejo
authors.forename: Charles
authors.initials: C
authors.lastname: Miller
mesh_terms: D000328:Adult; D000368:Aged; D001018:Aortic Diseases / Q000601:surgery*; D002404:Catheterization; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D014019:Tissue Donors; D009927:Tissue and Organ Procurement